Template

Hen - SF03 - Utility Strike Report

by Heneghans 01, from the Community

Use this Utility Strike Report to record any known or unknown strikes during excavation or civil works. Capture site details, date and time, supervisor and team, location and the asset struck such as gas, electric, telecoms, water, sewer or fibre, and whether the utility owner was informed. Log excavation depth, photos, markings, NRSWA card, equipment used, drawings validity, trial holes, CAT and Genny calibration and competency, and warning markers. Document service interruption, affected customers, costs, injuries, and a detailed root cause analysis. Add corrective actions, training needs, manager notifications, and sign off to prevent recurrence.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Strike Investigation Form
This Strike Investigation Form helps teams document and investigate utility strikes that occur during excavation, cabling, or related site works. Record incident time, location, work details, weather, ground and surface conditions, plant and equipment involved, and type of utility damaged such as electric, gas, water, sewer, fibre, or telecoms. Capture service position, diameter, depth, material, and protection, and note utility status. Verify risk management controls including permits to dig, point of work assessments, use and calibration of CAT and Genny, utility plans, service mark ups, trial pits, and protective measures. Attach photos and supporting notes to create a complete investigation record and aid corrective actions.
by Gillian Huppler, from the Community
Downloads: 10+
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Template
Strike Report Investigation
This Strike Report Investigation template helps construction teams document and analyze utility strikes during excavation. Capture utility details, location, and depth, record causes and site conditions, and list all personnel involved. Log CAT and Genny serial numbers and calibration dates, verify that equipment functioned correctly, and confirm PPE compliance. Include photos of utility plans, risk assessments, damaged assets, depth measurements, site mark ups, permit boards, and equipment. Document excavation methods, hand tools used, and ongoing CAT usage during works. Use the checklist and cause analysis to improve safety, support compliance, and prevent future incidents. Supervisor signatures finalize the report.
by Emma Evans, from the Community
Downloads: 10+
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Template
Initial Strike Report
This Initial Strike Report template helps construction teams document utility or service strikes on site with speed and accuracy. Capture key information including subcontractor and site lead, operatives involved, nature of works, SSRA completion, detailed account of events leading to the strike, and immediate actions taken. Record whether injuries occurred, utilities affected, utility plan availability, surface type, service depth, and presence of marker tapes or tiles. Log calibration dates for CAT and Genny, confirm above‑ground service markings, and note any mechanical excavation within 500 mm of known services. Include utility report reference numbers and attach photos to support investigation and corrective actions.
by Martyn Caulfield, from the Community
Downloads: 10+
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Template
Utility Damage Report Form
Use this Utility Damage Report Form to record utility strikes in the field and standardize incident investigations. Log dates and times, location and site address, team members, and the utility owner. Capture what happened when the asset was struck, injuries and environmental impact, and the type of utility affected such as LV, HV, service, or main. Verify plans, CAT and Genny use, safe digging practices, air lancing, and trial holes. List equipment, document immediate causes, conclusions, and attach risk assessments, photos, and additional notes. Export reports to PDF for compliance and lessons learned.
by Alan Milford, from the Community
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Hen - SF03 - Utility Strike Report

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Strike Investigation Form

Strike Report Investigation

Initial Strike Report

Utility Damage Report Form

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Strike Investigation Form

Strike Report Investigation

Initial Strike Report

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